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Table 3 The evidence quality for short-acting and long-acting thiazide diuretics reducing the incidence of kidney stones

From: Use of thiazide diuretics for the prevention of recurrent kidney calculi: a systematic review and meta-analysis

Quality assessment

No of patients

Effect

Quality

Importance

No of studies

Design

Risk of bias

Inconsistency

Indirectness

Imprecision

Other considerations

Thiazide diuretics

Placebo in recurrent renal calculus

Relative (95% CI)

Absolute

Subgroup—short-acting

 3

Randomized trials

No serious risk of bias

Serious

No serious indirectness

Seriousa,b

None

27/98 (27.6%)

46/101 (45.5%)

See comment

182 fewer per 1000 (from 50 fewer to 310 fewer)

Low

Important

 

48%

192 fewer per 1000 (from 53 fewer to 326 fewer)

Subgroup—long-acting

 5

Randomized trials

No serious risk of bias

Seriousa,b

No serious indirectness

Seriousa,b

None

25/188 (13.3%)

73/184 (39.7%)

See comment

262 fewer per 1000 (from 179 fewer to 349 fewer)

Low

Important

 

42.9%

283 fewer per 1000 (from 193 fewer to 378 fewer)

  1. aThe outcome of one study is no effect
  2. bThe sample size is not large enough